GARY KENNETT, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1336379965
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 115687 (MA) |
Frequently Asked Questions
NPI 1336379965 is the National Provider Identifier for GARY KENNETT, LICSW, a Social Worker - Clinical provider located in Springfield, MA. This NPI was enumerated on July 16, 2009.
GARY KENNETT, LICSW practices at 97 FOREST PARK AVE, Springfield, MA 01108.
Quick Facts
- NPI
- 1336379965
- Type
- Individual
- Enumerated
- Jul 16, 2009
- Last Updated
- Dec 8, 2021
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